This is the first part of a two part course on central nervous system anomalies in the second and third trimester. The aim of this course is to review, describe and update the technical aspects of the screening evaluation of the fetal brain to be performed as part of the mid-trimester anomaly scan; to present the indications and procedure for targeted fetal neurosonography; and to review the sonographic presentation and pathophysiology of selected CNS anomalies detectable by ultrasound focusing.
Overview
Course name: ATC4 Fetal anomalies – brain and CNS part 1
Duration of course: 12 hours (+ supplementary materials)
Length of access for each course: 12 months
Certificates: 12 CME credits and ISUOG Certificate of Completion
Access: Online learning, learn at your own pace.
Education level: Advanced
Program language: English
Suitable for: Practicing obstetricians, trainees, fellows, residents, nurses, radiographers, sonographers, GPs and healthcare professionals providing antenatal care and performing ultrasound scans.
Why do this course?
Ultrasound has been used for nearly 30 years as the main modality to help diagnose fetal CNS anomalies. Completing this course is crucial for healthcare professionals involved in prenatal care as it enhances their ability to accurately screen and evaluate the fetal brain during mid-trimester anomaly scans. By updating technical skills and knowledge on targeted fetal neurosonography, participants can improve the early detection and diagnosis of central nervous system anomalies, ensuring better management and outcomes for both the mother and fetus during the critical second and third trimesters.
Course description
The aim of this course is to review, describe and update the technical aspects of the screening evaluation of the fetal brain to be performed as part of the mid-trimester anomaly scan; to present the indications and procedure for the detailed evaluation of the fetal CNS; and to review the sonographic presentation and pathophysiology of CNS anomalies detectable by ultrasound focusing on the second and third trimesters. This is the first part of a two part course on central nervous system anomalies in the second and third trimester. Pathology requiring targeted imaging will be explored in-depth throughout the lessons. The topics covered in this course are the normal and advanced neurosonogram; the ventricular system; midbrain, hindbrain, and the posterior fossa; CSP and the corpus callosum; the spine and neural tube defects.
Contributors to this course
Course contributors: Lior Drukker, Daniel Rolnik, Angela Ranzini, Andrew Cowling, Willem Gheysen, Lea Tuzovic
Course materials: Prof. Asma Khalil, Prof. Dario Paladini, Prof. Gustavo Maliger, Prof. Liona Poon, Prof. Denice Pugash, Prof. Ritsuko Pooh, Dr. Angela Ranzini, Prof. Rabih Chaoui, Prof. Simon Meagher, Dr. Lou Pistorius, Prof. Sylvie Langlois, Prof. Ilan Timor-Tritsch, Dr. Ana Monteagudo, Assoc. Prof. Gregor Kasprian, Dr. Karina Haratz, Assoc. Prof. Magda Sanz-Cortes, Prof. Laurent Guibaud, Prof. Daniela Prayer, Dr. Adolfo Etchegaray, Dr. Raigam Jafet Martinez-Portilla, Dr. Role Birnbaum, Dr. Tania Attie-Bitach, ISUOG Practice Guidelines and many VISUOG Chapters.
Learning objectives
- Understand the normal development of the fetal central nervous system.
- Learn to assess the normal morphological appearance of fetal brain structures such as the CSP and corpus callosum, ventricular system, midbrain, hindbrain and posterior fossa according to the different stages of pregnancy.
- Understand the requirements of a routine screening neurosonogram, and the indications for targeted neurosonography.
- Understand the procedure for performing targeted neurosonography.
- Learn to assess the normal morphological appearance of the fetal spine.
- Recognize the normal appearance of the fetal brain and common pathological appearances on ultrasound
Key questions
- What is the normal fetal nervous system appearance in the second and third trimester?
- How is routine neurosonography performed? What are the key landmarks for screening?
- What are the indications for targeted neurosonography and how is it performed?
- What are the pathophysiologies, morphologies, diagnoses and prognoses of fetal central nervous system acquired and developmental abnormalities?
Prices
Prices for ISUOG members
| ISUOG member | £75 |
| ISUOG member - with trainee/sonographer discount  | £40 |
| ISUOG member in middle-income setting | £40 |
| ISUOG member in lower-resource setting | £10 |
Prices for ISUOG non-members*
| Non-member | £85 |
| Non-member - with trainee/sonographer discount  | £50 |
| Non-member in middle-income setting | £50 |
| Non-member in lower-resource setting | £15 |
* Prices for non-members does NOT include ISUOG membership. Join as an ISUOG member first for discounted prices to our online training courses (allow 24 hours for systems to update).
Trainees/residents and sonographers/radiographers
Proof of status: All trainees, residents, sonographers and radiographers will need to submit proof of their trainee, resident, sonographer or radiographer status by way of a letter from their Department or Institution. The letter must be in English and dated within the last 3 months and submitted by email to [email protected] along with the name of the course you wish to purchase.
Sonographer definition: A sonographer is a non-physician medical imaging professional who performs diagnostic medical sonography, or diagnostic ultrasound.
Trainee/resident definition: A trainee is a medical professional who is not yet fully qualified or practicing without supervision within their chosen specialty and in accordance with the relevant national regulatory authorities; a resident is in residency training which leads to specially or subspecialty) certification.
Low resource country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from low resource countries have the lowest purchase costs. ISUOG's low resource country list can be viewed here https://www.research4life.org/access/eligibility/.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Middle income country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from middle income countries have access to reduced purchase costs. ISUOG has identified the following countries whose economies fall within the middle income category as defined by the World Bank: American Samoa, Argentina, Brazil, Bulgaria, China, Costa Rica, Dominican Republic , India, Indonesia, Iran, Kazakhstan, Malaysia, Mexico, Philippines, Russia, Serbia, South Africa, Thailand, Turkey, Turkmenistan.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Further information
Accreditation and CME Credits
CME credits
The European Accreditation Council (EACCME) accredits this online course for Continuing Medical Education (CME). European CME credits (ECMEC®) will be awarded on successful completion of this course. Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.
CME Subcommittee
The CME Subcommittee oversees the CME requirements for our CME accredited courses.
Conflict of Interest
No commercial support has been accepted related to the development or publication of this course. This course underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the International Society of Ultrasound in Obstetrics & Gynecology (ISUOG). Conflicts of interest have been identified and resolved in accordance with EACCME guidelines.
You can find out how we adhere to the essential criteria for EACCME accreditation requirements here.
Technical Requirements
You can study on your phone, tablet or laptop. To participate and access this activity you will need a good internet connection and an up to date browser:
- MS Internet Explorer 11 (Not including compatibility modes)
- MS Edge
- Mozilla Firefox version 60 Extended Support Release (ESR)
- Google Chrome 73
- Safari 10 auf OS X
- Mobile Browser Android >4 and iOS > 9
- Current versions of Adobe Reader plugin
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You must be an ISUOG member to get a discounted price and additional resources; or simply subscribe to our newsletter to access the Basic Training Online Program at the non-member price.
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Obstetrics – mid trimester fetal anomalies scan course list
Other courses in this series:
- ATC4: Fetal heart - Outflow tract and valvular defects
- ATC4: Fetal heart - Fetal arrhythmias, tumors and other cardiac defects
- ATC4: Fetal heart - septal defects and ventricular anomalies
- ATC4: Fetal anomalies - brain and CNS part 2
- ATC4: Fetal anomalies - face and neck
- ATC4: Fetal anomalies - thorax
- ATC4: Fetal anomalies - upper and lower gastrointestinal
- ATC4: Fetal anomalies - genitourinary
- ATC4: Fetal anomalies - skeletal dysplasia
- ATC4: Fetal anomalies - placenta
- ATC4: Fetal anomalies - infectious syndromes/teratogens
- ATC4: Fetal anomalies - chromosomal/genetic syndromes
Other courses related to this topic:
Obstetrics – first trimester scan
- ATC3: First trimester - brain and CNS